ABSTRACT
Introducción: El principio de autonomía es la base del concepto de consentimiento informado. El consentimiento informado es un derecho del paciente que consiste en que este, previamente a que se efectúe la intervención médica en su cuerpo, debe expresar su conformidad que debe ir precedida de la debida información que le permite decidir según sus intereses. En este trabajo, nuestro objetivo fue conocer la situación de la información médica y del consentimiento informado del paciente en el Servicio de Traumatología y Cirugía Ortopédica del Hospital Universitario de Burgos.Material y métodosSe elaboró y distribuyó un cuestionario anónimo entre 647 pacientes de cirugía ortopédica y traumatología del Hospital Universitario de Burgos. Posteriormente, se realizó un estudio cuantitativo observacional descriptivo de corte transversal. Se estudió la asociación de las variables sociodemográficas con las respuestas a los ítems del cuestionario.ResultadosSolo el 28,9% de los pacientes conoce que la información es un derecho, pero la mayoría (97,3%) manifestaron la necesidad de recibir información sobre riesgos y complicaciones del tratamiento y consideran que la información no aumenta el miedo o ansiedad (63,4%). La mayoría afirmaron que fueron informados sobre la actuación asistencial (98,1%), comprendiendo las explicaciones recibidas (98,0%). El tiempo utilizado fue suficiente (73,7%). En general, la información recibida fue calificada como suficiente (89,8%).ConclusionesLos pacientes, en su mayoría, se sintieron informados y consideraron que el tiempo que el facultativo había tenido para ello era suficiente. (AU)
Introduction: The principle of autonomy is the basis of the informed consent concept. Informed consent is a patient´s right consisting in prior to the medical intervention being carried out on his body, he must express his agreement that it must be preceded by the proper information that allows him to decide according to his interests. In this work, our objective was to know the status of medical information and informed consent of the patient in the Traumatology and Orthopedic Surgery Service of the University Hospital of Burgos.Material and methodsAn anonymous questionnaire was prepared and distributed among 647 orthopedic surgery and trauma patients at the University Hospital of Burgos. Subsequently, a descriptive, cross-sectional, observational quantitative study was carried out. The association of sociodemographic variables with the responses to the questionnaire items was studied.ResultsOnly 28.9% of the patients know that information is a right, but the majority (97.3%) expressed the need to receive information on risks and complications of the treatment and consider that the information does not increase fear or anxiety (63.4%). The majority stated that they were informed about the care performance (98.1%), understanding the explanations received (98.0%). The time used was sufficient (73.7%). In general, the information received was rated as sufficient (89.8%).ConclusionsMost of the patients felt informed and considered that the time that the doctor had had for this was sufficient. (AU)
Subject(s)
Humans , Informed Consent , Patient Rights , Access to Information/ethics , 24960 , Epidemiology, Descriptive , Cross-Sectional Studies , SpainABSTRACT
INTRODUCTION: An adequate certification of causes of death is essential for Public Health. The objective of this work is to improve the professional competence of medicine students and family doctors with regard to the certification of causes of death according to the international regulations of the WHO. METHODS: Intervention-formation, before and after design, addressed to students of Medicine in their last year (6th year), and Family Doctors and Interns. The blended learning or b-learning program consisted in an on-site seminar-workshop, plus basic information/documentation stored in an on-line platform, together with the preparation of Certificates of Causes of Death based on Clinical Histories of real cases. RESULTS: 308 students participated in the program. We observed an individual improvement in the professional competence in all certifications of death, which was significant in 3 out of 5 cases (it was not significant in a medical-legal case of violent death and the case of a pluripathological chronic patient). The intermediate causes improved in all cases. Most formal aspects of the certification improved with significant changes. In the group of 62 Family Doctors and interns who took part in the program there were improvements in the basic or underlying causes in 4 of the 5 cases and improvements in the formal quality of the assessment, although less significantly than in students, because they started with better basal indexes in their certificates in the Before stage of the study. CONCLUSIONS: Blended learning training has shown to be effective in improving the professional competence, both in students of the Degree of Medicine and in practicing Family Doctors and Interns.
Subject(s)
Cause of Death , Clinical Competence , Death Certificates , Education, Medical, Continuing/methods , Education, Medical, Undergraduate/methods , Abbreviations as Topic , Handwriting , Humans , Quality Control , Terminology as Topic , World Health OrganizationABSTRACT
La epilepsia se caracteriza por la aparición de diversos tipos de crisis que se acompañan de alteraciones específicas en el EEG en forma de brotes paroxísticos. Durante los periodos intercríticos el registro puede ser normal. En ocasiones, pueden evidenciarse alteraciones en respuesta a mecanismos de activación específicos. El diagnóstico de las crisis no convulsivas puede ser difícil de establecer. En algunos tipos de epilepsia, especialmente en la del lóbulo temporal, se han descrito conductas agresivas durante las crisis. Exponemos el caso de un homicida, varón de 20 años, sin antecedentes de conductas conflictivas, que presentó una conducta violenta explosiva que junto con su especial vivencia de los hechos llevó a la sospecha de la existencia de organicidad. El EEG evidenció una alteración compatible con epilepsia que podría explicar la aparición de la conducta agresiva (AU)
Epilepsy is characterized by the onset of various types of crisis which are accompanied by specific alterations in EEG as paroxysmal outbreaks. Registration may be normal during intercritical periods. Sometimes, alterations in response to specific activation mechanisms can be evidenced. Diagnosis of the non-convulsive crises can be difficult to establish. In some types of epilepsy, especially in that of the temporal lobe, aggressive behaviors during the crises have been described. We present the case of a 20 year-old male, a murderer with no previous deviant behavior, who displayed an explosive violent behavior. His particular experience of the events led to the suspicion of the existence of organicism. EEG showed an alteration compatible with epilepsy that might explain the onset of the aggressive conduct (AU)
